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骨折局部应用伊班膦酸钠最适剂量选择的动物实验研究
作者:段继强 王宸 张磊  
单位:东南大学临床医学院
关键词:“伊班膦酸钠”“骨折愈合”“局部应用”“最适剂量” 
分类号:
出版年·卷·期(页码):2010·38·第二期(96-101)
摘要:

目的 探讨不同剂量的伊班膦酸钠局部应用对兔骨折愈合过程的不同影响及最适剂量。方法 45只新西兰大白兔,按随机原则分为0ml(对照),0.1ml,0.2ml,0.3ml,0.4ml五个不同剂量组,每组9只,建立兔桡骨骨折标准模型。建模后对照组不予处理,其余各组通过局部途径给予相应剂量的伊班膦酸钠。于建模后1、2、4周通过X线观察骨折愈合情况,进行评分;于建模后1、2、4周分批处死兔,取造模侧兔桡骨进行骨生物力学测试;摘取骨痂标本,进行病理学观察和通过免疫组化检测VEGF受体的表达。结果 ①X线观察:第2、4周时,局部用药各组评分均高于对照组(p<0.05),0.3ml组X线评分均高于0.1ml、0.2ml组(p<0.05),与0.4ml组评分无差异(p>0.05)②生物力学测试结果:第4周时,各局部用药组抗弯强度均高于对照组(p<0.05),0.3ml组均高于0.1ml、0.2ml组(p<0.05),与0.4ml组无差异(p>0.05)。③成骨细胞指数:局部用药各组在第1、2、4周均高于对照组(P<0.05),第2、4周时,0.3ml组均高于0.1ml、0.2ml组(p<0.05),与0.4ml组无差异(p>0.05)④免疫组化结果:局部用药组第1、2、4周VEGF受体表达均高于对照组(P<0.05)。第2、4周时,0.3ml组均高于0.1ml、0.2ml组(p<0.05),与0.4ml组评分无差异(p>0.05)。结论 局部应用不同剂量的伊班膦酸钠均起到了促进骨折愈合过程的作用,其中以0.3ml作用最显著,为本实验的最适剂量。

Objective: Research on the effects of difference dose Ibandronate of fracture healing after local application and to elect the best appropriate dose. Methods: forty-five healthy New Zealand rabbits were randomly divided into five groups: 0ml, 0.1ml, 0.2ml, 0.4ml, 9 rabbits for each group. All the rabbits were made 3 mm wide bone defection at lower one third part of unilateral radius as fracture healing model.0ml group regard as the control group (CG) in the five groups and no more management after the model was built. Each of those was given different Ibandronate according to each group’s setting dose through dosage locally. At week 1, 2, 4 the state of fracture healing were examined with DR, and then scored. At week 1, 2, 4 three rabbits were selected from each group randomly and were killed by aeroembolism respectively. Their radial bone on side of model were anatomied abruption after examined with DR and test through biomechanics. Then the calluses were intercepted from fracture sites as the research objects. Pathological changes were observed in callus samples and Immunohistochemistry stain were performed to examine receptor of VEGF expression in tissues of callus. Results: ①Radiographic analysis: At week 2,4 the local application group obtained higher scores than in CG(p<0.05).The group of 0.3ml obtained higher scores than 0.1ml,0.2ml group(p<0.05)and compare for 0.4ml group was no contrast(p>0.05).②Biomechanics test Index: At week 4 anti-bend strength of the local application group obtained index higher than in CG(p<0.05).The group of 0.3ml index higher than 0.1ml,0.2ml group(p<0.05)and compare for 0.4ml group was no contrast(p>0.05); Max-offset of the local application obtained higher index than in CG(p<0.05),but compare in each of the local application groups was no contrast(p>0.05).③Osteoblastic index(OBI):At week 1,2,4, the local application group OBI higher than in CG(p<0.05).The group of 0.3ml OBI higher than 0.1ml,0.2ml group(p<0.

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